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Written Question
Skilled Workers: Vacancies
Thursday 18th April 2024

Asked by: Drew Hendry (Scottish National Party - Inverness, Nairn, Badenoch and Strathspey)

Question to the Department for Business and Trade:

To ask the Secretary of State for Business and Trade, whether her Department has made an assessment of the potential reasons for skills shortages.

Answered by Kevin Hollinrake - Minister of State (Department for Business and Trade)

The workforce is more highly qualified than 15 years ago, but adult participation in further education has declined significantly. This has left us with a gap in higher technical skills: only 4% of young people achieve a qualification at higher technical level by 25 compared to 33% who get a degree or above. We know through our work with investors and businesses that we do not have enough technicians, engineers or health and social care professionals to meet our challenges. Therefore, the Government are investing an additional £3.8 billion into skills and further education over this Parliament to help workers develop the skills businesses need.


Written Question
Electronic Cigarettes
Thursday 18th April 2024

Asked by: Adam Afriyie (Conservative - Windsor)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what plans her Department has to assess the impact of regulation of vape (a) flavours, (b) packaging and product presentation and (c) point of sale displays on (i) quit rates of smokers and (ii) relapse rates of smokers who have switched to vaping.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The health advice on vaping is clear, if you don’t smoke, don’t vape, and children should never vape. However, youth vaping has tripled in the last three years, and one in five children have now used a vape.

The Tobacco and Vapes Bill will crack down on youth vaping by providing powers to regulate flavours, displays, and packaging for vapes and nicotine pouches. It will ban free vape samples being given to children, and introduce an age of sale for non-nicotine vapes.

In doing this, we must strike the right balance between reducing the appeal of vapes to children while ensuring vapes remain attractive and available to adult smokers as a quit aid. This will be carefully considered in the development of any specific restrictions, and further consultation will take place before introducing any regulations. As stated in Parliament during the second reading of the Tobacco and Vapes Bill, we intend to hold the consultation on the regulations before the end of this Parliament, if practicable. We will also undertake an impact assessment to consider the potential impact of these regulations on smokers as well as other groups.


Written Question
Electronic Cigarettes
Thursday 18th April 2024

Asked by: Adam Afriyie (Conservative - Windsor)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential impact of her legislative proposals on vaping on trends in the level of (a) smokers who will quit and (b) ex-smokers who will relapse.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The health advice on vaping is clear, if you don’t smoke, don’t vape, and children should never vape. However, youth vaping has tripled in the last three years, and one in five children have now used a vape.

The Tobacco and Vapes Bill will crack down on youth vaping by providing powers to regulate flavours, displays, and packaging for vapes and nicotine pouches. It will ban free vape samples being given to children, and introduce an age of sale for non-nicotine vapes.

In doing this, we must strike the right balance between reducing the appeal of vapes to children while ensuring vapes remain attractive and available to adult smokers as a quit aid. This will be carefully considered in the development of any specific restrictions, and further consultation will take place before introducing any regulations. As stated in Parliament during the second reading of the Tobacco and Vapes Bill, we intend to hold the consultation on the regulations before the end of this Parliament, if practicable. We will also undertake an impact assessment to consider the potential impact of these regulations on smokers as well as other groups.


Written Question
Cerebral Palsy: Children
Wednesday 17th April 2024

Asked by: Dean Russell (Conservative - Watford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help support children with cerebral palsy.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The National Institute for Health and Care Excellence has published a range of guidance on care and support for children and young people and adults with cerebral palsy, to support healthcare professionals and commissioners. The guidance recommends service providers develop clear pathways that allow patients with cerebral palsy access to multi-disciplinary teams, specialist neurology services and regular reviews of their clinical and functional needs.

NHS England’s Getting It Right First Time Programme aims to improve care for people with neurological conditions, including those with cerebral palsy, by reducing variation and delivering care more equitably across the country.

The majority of services for people with cerebral palsy are commissioned locally by integrated care boards, which are best placed to make decisions according to local need. Nevertheless, at a national level, the Government is working closely with NHS England to continue to improve services for people with neurological conditions, including those with cerebral palsy.

The NHS Long-term Workforce Plan (LTWP) aims to grow the number and proportion of National Health Service staff working in mental health, primary and community care. The LTWP, published in 2023, sets out an ambition to grow these roles 73% by 2036/37, including plans to increase the community workforce specifically by 3.9% each year. By growing the community workforce, we will be better able to support people to participate in daily living, including those with cerebral palsy.

As set out in the LTWP, NHS England’s ambition is that, by 2028, no child or young person will be lost in the gaps between any children’s and adult services, and that their experience of moving between services is safe, well planned and prepared for so they feel supported and empowered to make decisions about their health and social care needs. The Department is working closely with NHS England to support this work, and the Children and Young People’s Transformation Programme has developed a national framework for transition which includes the key principles of a 0-25 model of care, including for young people with cerebral palsy.


Written Question
Cerebral Palsy
Wednesday 17th April 2024

Asked by: Dean Russell (Conservative - Watford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help support adults with cerebral palsy.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The National Institute for Health and Care Excellence has published a range of guidance on care and support for children and young people and adults with cerebral palsy, to support healthcare professionals and commissioners. The guidance recommends service providers develop clear pathways that allow patients with cerebral palsy access to multi-disciplinary teams, specialist neurology services and regular reviews of their clinical and functional needs.

NHS England’s Getting It Right First Time Programme aims to improve care for people with neurological conditions, including those with cerebral palsy, by reducing variation and delivering care more equitably across the country.

The majority of services for people with cerebral palsy are commissioned locally by integrated care boards, which are best placed to make decisions according to local need. Nevertheless, at a national level, the Government is working closely with NHS England to continue to improve services for people with neurological conditions, including those with cerebral palsy.

The NHS Long-term Workforce Plan (LTWP) aims to grow the number and proportion of National Health Service staff working in mental health, primary and community care. The LTWP, published in 2023, sets out an ambition to grow these roles 73% by 2036/37, including plans to increase the community workforce specifically by 3.9% each year. By growing the community workforce, we will be better able to support people to participate in daily living, including those with cerebral palsy.

As set out in the LTWP, NHS England’s ambition is that, by 2028, no child or young person will be lost in the gaps between any children’s and adult services, and that their experience of moving between services is safe, well planned and prepared for so they feel supported and empowered to make decisions about their health and social care needs. The Department is working closely with NHS England to support this work, and the Children and Young People’s Transformation Programme has developed a national framework for transition which includes the key principles of a 0-25 model of care, including for young people with cerebral palsy.


Written Question
Hospitals: Coronavirus
Monday 15th April 2024

Asked by: Desmond Swayne (Conservative - New Forest West)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment her Department made of the potential risks of discontinuing routine covid-19 testing of hospital patients prior to their discharge to care homes before.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The public health advice is that now is an appropriate point to end routine asymptomatic discharge testing for COVID-19, and move to a risk-based approach. A reduction in the severity of illness associated with the omicron variant, coupled with a high uptake of the vaccine among residents during the autumn COVID-19 vaccination booster, continued provision of infection prevention and control guidance, and the upcoming increased eligibility for COVID-19 treatments, demonstrates a reduced level of risk from COVID-19 in adult social care settings. In addition, epidemiological studies, and consensus reports from the early phases of the pandemic, suggest that hospital discharge was not dominant in the ingress of COVID-19 into care home settings.

The UK Health Security Agency’s (UKHSA) guidance on safe discharge and management of individuals with symptoms of an acute respiratory infection remains in place, and this will be kept under regular review. National Health Service trusts will have local discretion to re-introduce discharge or other forms of testing where clinically appropriate, following a risk assessment involving local authority public health teams, UKHSA Health Protection Teams, and care providers, as necessary in the decision making.


Written Question
Autism and Learning Disability: Housing
Monday 15th April 2024

Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking with Cabinet colleagues to provide housing for adults with (a) learning disabilities and (b) autism who are currently living in in-patient units so that they can live independently.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

On 26 January 2024, we published statutory guidance on discharge from mental health inpatient settings. This guidance sets out key principles for how National Health Service bodies and local authorities across adult and children’s services should work together to support people in being discharged from mental health inpatient services, including mental health inpatient services for people with a learning disability and for autistic people. This guidance states that strong links should be made with relevant community services prior to, and during, the person’s stay in hospital, and that this should include links in relation to meeting the person’s housing needs.

We continue to support the delivery of new supported housing by providing capital subsidies to providers, through the Care and Support Specialised Housing Fund and the Affordable Homes Programme in England.

The Department for Levelling Up, Housing and Communities is represented on the Building the Right Support Delivery Board. This cross-Government, cross-system board is responsible for driving progress on reducing the number of people with a learning disability and autistic people in mental health inpatient services.


Written Question
Vacancies: Romford
Monday 15th April 2024

Asked by: Andrew Rosindell (Conservative - Romford)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what steps he is taking to help fill job vacancies in Romford constituency.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

In the constituency and across the London Borough of Havering, the local Romford Jobcentre team are supporting residents into work and helping those in work to progress to higher paid jobs. We are working with local and national employers to help fill vacancies quickly, delivering Sector-Based Work Academy Programmes (SWAPs), recruitment days, Job Fairs, and work trials.

The weekly job club in Romford Jobcentre provides support on CV preparation, job applications and interview techniques, along with information sessions on a range of subjects to help customers into work, including information about different employment sectors, advice on childcare, support for those with additional health needs and motivational sessions.

The Jobcentre provides a bespoke service to employers, to match and screen candidates, and offers regular Job Fairs focussed on specific sectors and customer groups, with recent events to coincide with older workers week and national apprenticeship week. The team are also working with the London Borough of Havering to develop local support.

In partnership with the College of North East London we have recently offered SWAPs for local customers to gain skills and enhance their applications for the Logistics and Warehouse sectors. Care Provider Voices deliver a range of adult social care opportunities, with Springboard offering opportunities in the hospitality sector.


Written Question
Chronic Fatigue Syndrome: Health Services
Tuesday 9th April 2024

Asked by: Lord Hunt of Kings Heath (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the extent to which the 2021 NICE guidance for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) has been implemented (1) in general, and (2) in relation to the training health and social care professionals on how to employ the new recommendations, (a) establishing a UK-wide network of hospital-based ME/CFS specialist services, (b) making all NHS services accessible and capable of providing personalised ongoing care and support to those with ME/CFS, and (c) ensuring social care provision for ME/CFS is monitored and regularly reviewed.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

No formal assessment has been made of the extent to which the 2021 National Institute for Health and Care Excellence (NICE) guidance for myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), has been implemented.

NHS England does not centrally commission services for ME. Services to support people living with ME are commissioned by integrated care boards (ICBs) to meet the needs of their local population, and are not reviewed or assessed by NHS England centrally. In October 2023, the British Association of Clinicians in ME published their ME/CFS National Services Survey 2023. This survey provides insight on the services being delivered for adults, and children and young people, living with ME. A copy of the survey is attached.

In relation to the training of health and social care professionals, it is the duty of clinicians to keep themselves appraised of best practice, in particular guidance issued by the NICE. The Department is working with NHS England to develop an e-learning course on ME for healthcare professionals, with the aim of supporting staff to be able to provide better care and improve patient outcomes. This has involved feedback and input from the ME Research Collaborative (MERC) Patient Advisory Group. The Medical Schools Council will promote the NHS England e-learning package on ME to all United Kingdom medical schools, and encourage medical schools to provide undergraduates with direct patient experience of ME.

The Department published My full reality: an interim delivery plan for ME/CFS in August 2023, which sets out a number of actions to improve the experiences and outcomes for people living with the condition, including better education of professionals and improvements to service provision. More information about the interim plan is available on the GOV.UK website, in an online only format.

Alongside the publication of the interim delivery plan, we ran a public consultation to build a picture of how well the plan meets the needs of the ME community, and to understand if there are any gaps where further action may be necessary. The Department is currently analysing over 3,000 responses to the consultation on the interim delivery plan on ME, and will publish a final delivery plan later this year.

In relation to the monitoring of social care provision for individuals with ME, the Department has made a landmark shift in how we hold local authorities to account for their adult social care duties, through a new Care Quality Commission (CQC) assessment. The CQC will examine how well local authorities deliver their Care Act duties, increasing transparency and accountability and, most importantly, driving improved outcomes for people, including those with ME, who draw on care and support. The CQC completed five pilot assessments and is now rolling out assessment to all local authorities.


Written Question
Electronic Cigarettes
Wednesday 3rd April 2024

Asked by: Adam Afriyie (Conservative - Windsor)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate her Department has made of the number of adult vapers that may return to tobacco products as a result of the disposable vapes ban.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The health advice on vaping is clear, vaping can play a role in helping adult smokers to quit, but if you don’t smoke, don’t vape, and children should never vape. However, youth vaping has tripled in the last three years, and one in five children have now used a vape. We know that disposable vapes have played a significant role in this rise, with 69% of 11 to 17-year-olds who vape now using disposables, compared to just 7% in 2021. Disposable vapes also cause significant environmental harm, with five million disposable vapes thrown away every week.

To protect children and the environment, the Government has taken the decision to ban the sale and supply of disposable vapes.

The Impact Assessment on the disposable vape ban, published by the Department for Food, Environment and Rural Affairs on 11 March 2024, states that it is difficult to quantify the number of people switching either between different types of vapes, disposable to reusable, switching from vaping to smoking cigarettes, or stopping vaping or smoking altogether, as a result of a ban on disposable vapes.

However, reusable and refillable vapes will still be available for adult smokers to use as a quit aid and as a more affordable option than smoking. Therefore, it will not be necessary for adult vapers to return to tobacco products because refillable vapes will remain easily available to them, at a small cost relative to most tobacco products.